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NPI Code Detail

MEDICARE: CHRISTOPHER LAURENCE TAYLOR

MEDICARE: CHRISTOPHER LAURENCE TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1063307163
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER LAURENCE TAYLOR
Provider Business Mailing Address
First Line : 370 BASSETT RD # 6473
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 370 BASSETT RD # 6473
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 203-582-7818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/10/2025

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Directions to “ CHRISTOPHER LAURENCE TAYLOR ” Practice Location

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